Republic of the PhilippinesDEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT BUREAU OF JAIL MANAGEMENT AND PENOLOGY NATIONAL

HEADQUARTERS144 Mindanao Avenue, Quezon City

Trunk lines: (+632)927-6383*, 927-5505 Email Address: chief@bjmp.gov.ph Website: www.bjmp.gov.ph

REQUEST FOR QUOTATION

The Bureau of Jail Management and Penology — National Headquarters (BJMP- NHQ), through its Bids and Awards Committee, intends to procure Name of the Project which will be undertaken in accordance with the 2016 Revised Implementing Rules and Regulations of Republic Act No. 9184.

Name of the Project Supply and Delivery Various Office Supplies not Available in PS-DBM

ABC One Hundred Eighty Thousand One Hundred Fifty OnePesos (Php 180,151.00)

Specifications See Annex "A"Delivery Location BJMP National Headquarters, 144 Mindanao Avenue

Project 8, Quezon CityDelivery Date Fifteen (15) calendar days upon receipt of Purchase

Order

Please quote your best offer for the item/s described herein, subject to the Terms and Conditions provided at the last page of this RFQ. Submit our quotation duly signed by you or your authorized representative not later than 2 6 hAR 20ZI at 5:00 PM.

Interested suppliers are required to submit the following documents.

a. Mayor's Permit;b. PhilGEPS Registration Number (Please indicate in the space provided in

Annex “A”); andc. Omnibus Sworn Statement together with any documents to prove that the

signatory of the quotation is authorized representative of the company or photocopy of ID bearing the picture/signature of the representative issued by the company (to be submitted before issuance of Notice of Award).

Quotations may be submitted manually or through email at the address and contact numbers indicated below.

For further information, please refer to:

J/SINSP ARTURO R ESPOS JRDirectorate for Logistics BJMP National Headquarters,144 Mindanao Avenue, Project 8, Quezon City Telephone Number: 927-6383 local 202 Email Address: bac.bimpnha@qmail.com

DENNIS U ROCAMORA, CESEJail Chief Superintendent Deputy Chief for Operations of the Jail Bureau Chairperson, BJMP-NHQ BAC

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TERMS AND CONDITIONS1. Bidders shall provide correct and accurate information required in this form.

2. Price quotation/s must be valid for a period of thirty (30) calendar days from the date of submission.

3. Price quotations shall be denominated in Philippine Peso and shall include all taxes and/or levies payable.

4. Quotation exceeding the Approved Budget for the Contract shall be rejected.

5. Award of Contract shall be made to the Lowest Quotation (for goods and infrastructure) or, the highest rated offer (for consulting service) which complies with the minimum technical specification and other terms and conditions stated therein.

6. Any interlineations, erasure or overwriting shall be valid only if they are signed or initialed by you or your authorized representative/s.

7. The item/s shall be delivered according to requirement specified in the Technical Specifications.

8. The BJMP-NHQ shall have the right to inspect and/or to test the goods to conform their conformity to the technical specifications.

9. Liquidated damages equivalent to one tenth of one percent of the value of the goods not delivered within the prescribed delivery period shall be imposed per day of delay. The BJMP-NHQ shall rescind the contract once the cumulative amount of liquidated damages reaches ten percent (10%) of the amount of the contract, without prejudice to other course of action and remedies open to it.

I hereby understand and commit to comply all the above requirements in accordance with the above-stated terms and conditions.

Name and Signature of Authorized Representative:

Name of the Company/ Business Name

Date

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ANNEX •■A''

Name of the CompanyAddressTIN Number.*PhilGEPS Registration No. Contact Number Email Address

INSTRUCTIONS

1. Do not alter the contents of this form in any way.2. All the technical specifications are mandatory. Failure to comply with the specification shall

be a ground for the disqualification of your quotation. Failure to follow these instructions will disqualify your entire quotation.

TECHNICAL SPECIFICATIONSBidders must state either "Comply" or "Not Comply" or any equivalent term in the column "Statement of Compliance" against each of the individual parameters of each "Specification". Please do not just check in the bidders "Statement of Compliance".

TECHNICAL SPECIFICATIONS Statement of Compliance

Remarks

NOTEPAD, stick on, 76mm x 100mm (3” x 4”) minPAPER, MULTI COPY, 80gsm, 210mm x 297mmPAPER, MULTI COPY, 80gsm, 216mm x 330mmBATTERY, dry cell, AAA, 2pcs per blister packSTAPLE WIRE, STANDARD, (26/6)TAPE, PACKAGING, width: 48mm (±1mm)TAPE, TRANSPARENT, width: 24mm (±1mm)

TAPE, TRANSPARENT, width: 48mm (±1mm)CORRECTION TAPE, film base type, UL 6m minFOLDER, TAGBOARD, for A4 size documentsFOLDER, TAGBOARD, for legal size documentsMARKER, WHITEBOARD, black, felt tip, bullet typeMARKER, PERMANENT, bullet type, blackPAPER CLIP, vinyl/plastic coat, length: 32mm minPENCIL, lead, w/ eraser, wood cased, hardness: HBPUNCHER, paper, heavy duty, with two hole guideSTAPLER, STANDARD TYPE, load cap: 200 staples minSIGN PEN, BLACK, liquid/gel ink, 0.5mm needle tipSIGN PEN, BLUE, liquid/gel ink, 0.5mm needle tipSIGN PEN, RED, liquid/gel ink, 0.5mm needle tip

FINANCIAL OFFER

After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for the item/s as follows:ABC: One Hundred Eighty Thousand One Hundred Fifty One

Pesos (Php 180,151.00)Particular Quantity ABC Bid Amount

Per UnitNOTEPAD, pad 228 12,780.77

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PAPER, MULTI COPY, ream 182 39,711.36PAPER, MULTI COPY, ream 250 54,163.20BATTERY, pack 120 58.50STAPLE WIRE, STANDARD, box

60 2,005.12TAPE, PACKAGING, roll 35 1,638.00TAPE, TRANSPARENT, roll 41 1,419.60TAPE, TRANSPARENT, roll 20 1,092.00

CORRECTION TAPE, piece 100 3,511.04FOLDER, TAGBOARD, pack 20 6,520.80FOLDER, TAGBOARD, pack 30 13,981.76MARKER, WHITEBOARD,piece

32989.41

MARKER, PERMANENT, piece 38 1,158.14PAPER CLIP, box 12 299.00PENCIL, box 13 1,247.38PUNCHER, piece 15 3,166.92STAPLER, STANDARD TYPE,piece

605,258.00

SIGN PEN, BLACK , piece 100 6,230.00SIGN PEN, BLUE, piece 285 18,690.00SIGN PEN, RED, piece 100 6,230.00TOTAL BID AMOUNT (in words and figures)

Payment Details;

Banking Institution

Account Number Account Name

Branch

Name and Signature of Authorized Representative Date

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Omnibus Sworn Statement (Revised)[shall be submitted with the Bid]

REPUBLIC OF THE PHILIPPINES ) CITY/MUNICIPALITY OF______ ) S.S.

AFFIDAVIT

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of Affiant], after having been duly sworn in accordance with law, do hereby depose and state that:

1. [Select one, delete the other:]

[If a sole proprietorship:] 1 am the sole proprietor or authorized representative of [Name of Bidder] with office address at [address of Bidder];

[If a partnership, corporation, cooperative, or joint venture:] I am the duly authorized and designated representative of [Name of Bidder] with office address at [address of Bidder];

2. [Select one, delete the other:]

[If a sole proprietorship:] As the owner and sole proprietor, or authorized representative of [Name of Bidder], I have full power and authority to do, execute and perform any and all acts necessary to participate, submit the bid, and to sign and execute the ensuing contract for [Name of the Project] of the [Name of the Procuring Entity], as shown in the attached duly notarized Special Power of Attorney;

[If a partnership, corporation, cooperative, or joint venture:] I am granted full power and authority to do, execute and perform any and all acts necessary to participate, submit the bid, and to sign and execute the ensuing contract for [Name of the Project] of the [Name of the Procuring Entity], as shown in the attached [state title of attached document showing proof of authorization (e.g., duly notarized Secretary’s Certificate, Board/Partnership Resolution, or Special Power of Attorney, whichever is applicable;)];

3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the Philippines orany of its agencies, offices, corporations, or Local Government Units, foreign govemment/foreign or international financing institution whose blacklisting rules have been recognized by the Government Procurement Policy Board, by itself or by relation, membership, association, affiliation, or controlling interest with another blacklisted person or entity as defined and provided for in the UniformGuidelines on Blacklisting:

4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of the original, complete, and all statements and information provided therein are true and correct;

5. [Name of Bidder] is authorizing the Head of the Procuring Entity or its duly authorizedrepresentative(s) to verify all the documents submitted;

6. [Select one, delete the rest:]

[If a sole proprietorship:] The owner or sole proprietor is not related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

[If a partnership or cooperative:] None of the officers and members of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

[If a corporation or joint venture:] None of the officers, directors, and controlling stockholders of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

7. [Name of Bidder] complies with existing labor laws and standards; and

8. [Name of Bidder] is aware of and has undertaken the responsibilities as a Bidder in the Philippine Bidding Documents, which includes:

compliance with

a. Carefully examining all of the Bidding Documents;b. Acknowledging all conditions, local or otherwise, affecting the implementation of the Contract;c. Making an estimate of the facilities available and needed for the contract to be bid, if any; andd. Inquiring or securing Supplemental/Bid Bulletin(s) issued for the [Name of the Project].

9. [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any formof consideration, pecuniary or otherwise, to any person or official, personnel or representative of the government in relation to any procurement project or activity.

10. In case advance payment was made or given, failure to perform or deliver any of the obligations andundertakings in the contract shall be sufficient grounds to constitute criminal liability for SwindlinglEstafa) or the commission of fraud with unfaithfulness or abuse of confidence throughmisappropriating or converting any payment received by a person or entity under an obligationinvolving the duty to deliver certain goods or services, to the prejudice of the public and thegovernment of the Philippines pursuant to Article 315 of Act No. 3815 s. 1930. as amended, or theRevised Penal Code.

IN WITNESS WHEREOF, I have hereunto set my hand this__day ofPhilippines.

_, 20 at

Bidder’s Representative/Authorized Signatory lJuratl

[Format shall be based on the latest Rules on Notarial Practice]